Individual provider Active NPI

Matthew Ryan Murphy

  • Psychiatric/Mental Health Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1629740394
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11015541 Issued in FL
Practice address
100 E Pine St Ste 110
Orlando, FL 32801-2759
Phone
(352) 234-8815
NPI assigned
Oct 1, 2021
Last updated
Nov 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X APRN11015541 FL Primary

Addresses

Primary practice location

100 E Pine St Ste 110
Orlando, FL 32801-2759

Mailing address

7901 4TH St N Ste 13740
Saint Petersburg, FL 33702-4305
Phone (352) 234-8815

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MD, OR3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20220221000890 FL Practitioner - Nurse Practitioner 3971997768 Reassigns benefits to 2 organizations
I20220713000306 MD Practitioner - Nurse Practitioner 3971997768 Reassigns benefits to 1 organization
I20230302002658 OR Practitioner - Nurse Practitioner 3971997768 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brightside Health, Inc. Multi-Specialty CurrentSince Oct 1, 2023 Accepting new patients
Aspire Health Partners, Inc. Multi-Specialty CurrentSince Feb 11, 2022 Accepting new patients
Asante Physician Partners Multi-Specialty CurrentSince Jun 3, 2024 Accepting new patients

Locations

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

6501 Arlington Expy
Ste B105
Jacksonville, FL 32211
Phone (904) 302-9355

1800 Mercy Dr
Orlando, FL 32808
Phone (407) 295-5151

434 W Kennedy Blvd
Orlando, FL 32810
Phone (407) 667-1600

5151 Adanson St
Ste 201
Orlando, FL 32804
Phone (407) 494-1509

919 E 2nd St
Sanford, FL 32771
Phone (407) 323-2036

280 Maple St
Ashland, OR 97520
Phone (541) 201-4000

625 SW Ramsey Ave
Ste A
Grants Pass, OR 97527
Phone (541) 474-5004

2825 E Barnett Rd
Medford, OR 97504
Phone (541) 282-6770

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1633046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1629740394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 4TH ST N STE 13740",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337024305",
            "telephone_number": "352-234-8815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E PINE ST STE 110",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328012759",
            "telephone_number": "352-234-8815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "MATTHEW",
        "middle_name": "RYAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-01",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11015541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.